Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CH09365AB CLINICAS DEL CAMINO REAL, INC.

Covered Entity Details

Entity Name

CLINICAS DEL CAMINO REAL, INC.

Subdivision Name

Clinicas Del Camino Real, Inc. - East Simi Valley

Type

HRSA-Funded Health Center

340B ID

CH09365AB

Entity Address

4370 Eve Road
Simi Valley, CA 93063-2323

Grant Number

H80CS00550

Participating Start Date

7/1/2014

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09695
551 S. VENTURA RD.
OXNARD, CA 93030

Pharmacy Comments

Contract Details

Approval Date

10/15/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Gagan Pawar, Chief Medical Officer
(805) 659-1740

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

10/15/2015

340B Drug Pricing Program Database